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At least 253 records · Page 14

Integrating Safety in the Aviation System: Interdepartmental Training for Pilots and Maintenance Technicians

The study of human factors has had a decisive impact on the aviation industry. However, the entire aviation system often is not considered in researching, training, and evaluating human factors issues especially with regard to safety. In both conceptual and practical terms, we argue for the proactive management of human error from both an individual and organizational systems perspective. The results of a multidisciplinary research project incorporating survey data from professional pilots and maintenance technicians and an exploratory study integrating students from relevant disciplines are reported. Survey findings suggest that latent safety errors may occur during the maintenance discrepancy reporting process because pilots and maintenance technicians do not effectively interact with one another. The importance of interdepartmental or cross-disciplinary training for decreasing these errors and increasing safety is discussed as a primary implication.

Mattson, Marifran↗

Communication Research in Aviation and Space Operations: Symptoms and Strategies of Crew Coordination

The day-to-day operators of today's aerospace systems work under increasing pressures to accomplish more with less. They work in operational systems which are complex, technology-based, and high-risk; in which incidents and accidents have far-reaching and costly consequences. For these and other reasons, there is concern that the safety net formerly built upon redundant systems and abundant resources may become overburdened. Although we know that human ingenuity can overcome incredible odds, human nature can also fail in unpredictable ways. Over the last 20 years, a large percentage of aviation accidents and incidents have been attributed to human errors rather than hardware or environmental factors alone. A class of errors have been identified which are not due to a lack of individual, technical competencies. Rather, they are due to the failure of teams to utilize readily available resources or information in a timely fashion. These insights began a training revolution in the aviation industry called Cockpit Resource Management, which later became known as Crew Resource Management (CRM) as its concepts and applications extended to teams beyond the flightdeck. Then, as now, communication has been a cornerstone in CRM training since crew coordination and resource management largely resides within information transfer processes--both within flightcrews, and between flightcrews and the ground operations teams that support them. The research I will describe takes its roots in CRM history as we began to study communication processes in order to discover symptoms of crew coordination problems, as well as strategies of effective crew management. On the one hand, communication is often the means or the tool by which team members manage their resources, solve problems, maintain situational awareness and procedural discipline. Conversely, it is the lack of planning and resource management, loss of vigilance and situational awareness, and non-standard communications that are implicated in accidents and incidents. NASA/Ames Crew Factors researchers have been developing a model of effective crew coordination in order to understand the sources of performance breakdowns, and to develop effective solutions and interventions. Because communication is a primary mechanism by which information is received and transmitted, and because it is observable behavior, we focus on these group processes in order to identify patterns of communication that distinguish effective from less effective crew performance. Since a prime objective is to develop training recommendations for enhancing communication skills, we interpret our findings in the context of relevant task and environmental conditions, role and procedural constraints, and the normal real-time parameters of flight operations. Another research objective is to consider how communication and coordination can be enhanced through design. For example, flight deck and hardware design as well as procedural and software design may greatly influence the efficiency with which crews communicate and coordinate their work. In addition, teams and tasks may be designed, organized, and trained so that team interactions with each other are based upon appropriately shared knowledge, procedures and situation awareness. In short, we are interested in enhancing communication practices through (1) the training of specific communication skills, and (2) the design of equipment, tasks, procedures, and teams that optimize smooth, unambiguous communication processes. Two examples of communication research will be described; one in aviation and one in space operations. The first example is a high-fidelity full mission simulation study which investigates the affect of flightdeck automation on crew coordination and communication (contrasting crew performance in the DC-9 vs. MD88). Additional information is contained in the original extended abstract.

Kanki, Barbara G.↗

Enhancing the Flight Safety Culture Through Training

In the 1970's, flight safety professionals became profoundly concerned about the prevalence of crew-caused accidents and incidents, and the role of human error in flight operations. As result, they initiated a change in the flight safety culture which has grown to significant proportions today. At the heart of the evolution were crew concepts such as flightdeck management, crew coordination, and cockpit resource management, concepts which seemed to target critical deficiencies. In themselves, the concepts were not new but their incorporation into training as a direct means of changing the flight safety culture was an untried, almost 'grassroots' approach. The targeted crew concepts and skills were not an integral part of the typical training program; the methods, curriculum, media, and even course content itself, would have to be developed and implemented from the bottom up. A familiar truism in the pilot culture is that you should 'Train the way you fly; Fly the way you train'. In short, training was expected to provide the pilot with practical operational skills that were consistent with the performance standards they were required to maintain and the operational demands they met on a daily basis. In short, one could not simply command crews to use good CRM; one would have to research and define these skills operationally as well as develop and implement a consistent and effective training program. Furthermore, one would need active support and collaboration among the research, industry and government communities in order to ensure acceptance and continued commitment. Additional information is contained in the original extended abstract.

Kanki, Barbara G.↗

Recent Improvements in the FDNS CFD Code and its Associated Process

This viewgraph presentation gives an overview on recent improvements in the Finite Difference Navier Stokes (FDNS) computational fluid dynamics (CFD) code and its associated process. The development of a utility, PreViewer, has essentially eliminated the creeping of simple human error into the FDNS Solution process. Extension of PreViewer to encapsulate the Domain Decompression process has made practical the routine use of parallel processing. The combination of CVS source control and ATS consistency validation significantly increases the efficiency of the CFD process.

West, Jeff S.↗

Security in Full-Force

When fully developed for NASA, Vanguard Enforcer(TM) software-which emulates the activities of highly technical security system programmers, auditors, and administrators-was among the first intrusion detection programs to restrict human errors from affecting security, and to ensure the integrity of a computer's operating systems, as well as the protection of mission critical resources. Vanguard Enforcer was delivered in 1991 to Johnson Space Center and has been protecting systems and critical data there ever since. In August of 1999, NASA granted Vanguard exclusive rights to commercialize the Enforcer system for the private sector. In return, Vanguard continues to supply NASA with ongoing research, development, and support of Enforcer. The Vanguard Enforcer 4.2 is one of several surveillance technologies that make up the Vanguard Security Solutions line of products. Using a mainframe environment, Enforcer 4.2 achieves previously unattainable levels of automated security management.

Source record↗

Microbe Detector

Under NASA contracts, McDonnell Douglas developed a microbial load monitor to detect bacterial contamination. Vitek Systems, Inc., a subsidiary, was created to commercialize the product for analyzing body fluids. With the AutoMicrobic System, infections may be treated more quickly. The process involves injecting the fluid into identification cards and screening the reaction. Antibiotic treatments are also suggested. Time in hospital and human error is reduced. There are also possible industrial and environmental applications.

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Probabilistic Causal Analysis for System Safety Risk Assessments in Commercial Air Transport

Aviation is one of the critical modes of our national transportation system. As such, it is essential that new technologies be continually developed to ensure that a safe mode of transportation becomes even safer in the future. The NASA Aviation Safety Program (AvSP) is managing the development of new technologies and interventions aimed at reducing the fatal aviation accident rate by a factor of 5 by year 2007 and by a factor of 10 by year 2022. A portfolio assessment is currently being conducted to determine the projected impact that the new technologies and/or interventions may have on reducing aviation safety system risk. This paper reports on advanced risk analytics that combine the use of a human error taxonomy, probabilistic Bayesian Belief Networks, and case-based scenarios to assess a relative risk intensity metric. A sample case is used for illustrative purposes.

Luxhoj, James T.↗

Development of a Laboratory for Improving Communication between Air Traffic Controllers and Pilots

Runway incursions and other surface incidents are known to be significant threats to aviation safety and efficiency. Though the number of near mid-air collisions in U.S. air space has remained unchanged during the last five years, the number of runway incursions has increased and they are almost all due to human error. The three most common factors contributing to air traffic controller and pilot error in airport operations include two that involve failed auditory communication. This project addressed the problems of auditory communication in air traffic control from an acoustical standpoint, by establishing an acoustics laboratory designed for this purpose and initiating research into selected topics that show promise for improving voice communications between air traffic controllers and pilots.

Brammer, Anthony↗

Distribution of Causes in Selected US Aviation Accident Reports Between 1996 and 2003

This paper describes the results of an independent analysis of the probable and contributory causes of selected aviation accidents in the United States between 1996 and 2003. The purpose of the study was to assess the comparative frequency of a variety of causal factors in the reporting of these adverse events. Although our results show that more of these high consequence accidents were attributed to human error than to any other single factor, a large number of reports also mentioned wider systemic issues, including the managerial and regulatory context of aviation operations. These wider issues are more likely to appear as contributory rather than primary causes in this set of accident reports.

Holloway, C. M.↗

A Simple Tool for the Design and Analysis of Multiple-reflector Antennas in a Multi-disciplinary Environment

The process of designing and analyzing a multiple-reflector system has traditionally been time-intensive, requiring large amounts of both computational and human time. At many frequencies, a discrete approximation of the radiation integral may be used to model the system. The code which implements this physical optics (PO) algorithm was developed at the Jet Propulsion Laboratory. It analyzes systems of antennas in pairs, and for each pair, the analysis can be computationally time-consuming. Additionally, the antennas must be described using a local coordinate system for each antenna, which makes it difficult to integrate the design into a multi-disciplinary framework in which there is traditionally one global coordinate system, even before considering deforming the antenna as prescribed by external structural and/or thermal factors. Finally, setting up the code to correctly analyze all the antenna pairs in the system can take a fair amount of time, and introduces possible human error.

Katz, Daniel, S.↗

Autonomous Rapid Inspection of Aerospace Structures

Aging aircraft structures and composite materials are requiring rapid inspection of large areas. Removal from the aircraft for NDE at an inspection facility is not economical as compared to field inspection. Detection and characterization of defects are labor intensive, time consuming and when the process is manual the result are subjected to human error.

control inspection systems↗

An Automated Classification Technique for Detecting Defects in Battery Cells

Battery cell defect classification is primarily done manually by a human conducting a visual inspection to determine if the battery cell is acceptable for a particular use or device. Human visual inspection is a time consuming task when compared to an inspection process conducted by a machine vision system. Human inspection is also subject to human error and fatigue over time. We present a machine vision technique that can be used to automatically identify defective sections of battery cells via a morphological feature-based classifier using an adaptive two-dimensional fast Fourier transformation technique. The initial area of interest is automatically classified as either an anode or cathode cell view as well as classified as an acceptable or a defective battery cell. Each battery cell is labeled and cataloged for comparison and analysis. The result is the implementation of an automated machine vision technique that provides a highly repeatable and reproducible method of identifying and quantifying defects in battery cells.

McDowell, Mark↗

Clustering and Recurring Anomaly Identification: Recurring Anomaly Detection System (ReADS)

This viewgraph presentation reviews the Recurring Anomaly Detection System (ReADS). The Recurring Anomaly Detection System is a tool to analyze text reports, such as aviation reports and maintenance records: (1) Text clustering algorithms group large quantities of reports and documents; Reduces human error and fatigue (2) Identifies interconnected reports; Automates the discovery of possible recurring anomalies; (3) Provides a visualization of the clusters and recurring anomalies We have illustrated our techniques on data from Shuttle and ISS discrepancy reports, as well as ASRS data. ReADS has been integrated with a secure online search

McIntosh, Dawn↗

Microbe Detector

The AutoMicrobic System (AMS) represents years of intensive research and development by McDonnell Douglas Corp. that originated with a NASA study aimed at development of a fully automated microbial detection and identification system for spacecraft use. A urine specimen is placed into the system, where it is subjected to different freeze-dried microbe nutrients for the nine most common pathogens. An electro-optical scanner studies each specimen once an hour through a 4-to-13 hour cycle, operating automatically. Changes in cell growths on each culture are monitored by computer. The presence of pathogens is indicated when growth reaches a predetermined level. The system also enumerates the pathogens and specifies the type. Developed initially to handle urine testing, AMS soon is expected to allow analyses of blood, spinal fluid, and other body fluids. An additional capability under development is "susceptibility testing," or the determination of which microbe-killing agents-such as penicillin or other antibiotics-would be most effective in eliminating the pathogens. The whole process of detecting, identifying, and enumerating the pathogens and determining susceptibility is accomplished in less half the time required for the manual procedure. The AMS minimizes human error, reduces technician time , and increases laboratory output.

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Upward Flame Propagation and Wire Insulation Flammability: 2006 Round Robin Data Analysis

This viewgraph document reviews test results from tests of different material used for wire insulation for flame propagation and flammability. The presentation focused on investigating data variability both within and between laboratories; evaluated the between-laboratory consistency through consistency statistic h, which indicates how one laboratory s cell average compares with averages from other labs; evaluated the within-laboratory consistency through the consistency statistic k, which is an indicator of how one laboratory s within-laboratory variability compares with the variability of other labs combined; and extreme results were tested to determine whether they resulted by chance or from nonrandom causes (human error, instrument calibration shift, non-adherence to procedures, etc.)

Hirsch, David B.↗

Severe Weather and Weak Waterspout Checklist in MIDDS

The goal of this task was to migrate the functionality of the AMU web-based Severe Weather Forecast Decision Aid and the 45 WS Weak Waterspout Checklist to MIDDS, the operational data ingest and display system of the 45 WS. Forecasting the occurrence and timing of warm season severe weather and weak waterspouts is challenging for 45 WS operational personnel. These interactive tools assist forecasters in determining the probability of issuing severe weather watches and warnings for the day. MIDDS is able retrieve many of the needed parameter values for the worksheet automatically. The AMU was able to develop user-friendly tools in MIDDS for both of these tools using McBASI coded programs. The tools retrieve needed values from MIDDS automatically, and require the forecaster to answer a few subjective questions. Both tools were tested and previewed to the 45 WS on MIDDS. In their previous forms, the forecasters enter values into both tools manually to output a threat index. Making these tools more automatic will reduce the possibility of human error and increase efficiency.

Wheeler, Mark M.↗